WILDERNESS MEDICINE TRAINING CENTER INTERNATIONAL
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Wilderness Medicine Courses for the public & outdoor professionals
   Wilderness Basic Life Support
   Wilderness First Aid
   Wilderness Advanced First Aid
   Wilderness First Responder
   Recertification
Wilderness EMS Courses
   EMRs & EMTs
   AEMTs, Paramedics, & Registered Nurses
   Nurse Practitioners, PAs, & Physicians
   Recertification
Specialty Courses
   Instructor Training
   Applied Anatomy & Physiology
in Wilderness Medicine 
   Effective Outdoor Program Design & Management

Wilderness Medicine Courses for the public & outdoor professionals

Despite your best intentions, in the outdoors, sometimes things go wrong. Some are minor, while others are more severe. Most environmental injuries — hypothermia, heat stroke, frostbite, drowning, etc. — can be prevented if you understand why they occur. If you recognize a problem early, many can be treated in the field. Training in wilderness medicine helps you prepare for the known and unknown.
  • Why Take a Wilderness Medicine Course
  • Getting away with it​ 

Wilderness Basic Life Support (WBLS)
Designed for people traveling with reliable cell phone coverage, outside assistance is typically available within one hour, and need first aid training ± CPR/AED certification

Wilderness First Aid (WFA)
Designed for people taking half or full-day trips, those traveling with reliable cell phone coverage, and where outside assistance is typically available within a few hours

Wilderness Advanced First Aid (WAFA)
Designed for people taking half-, full, or short multi-day trips, those traveling with reliable cell or satellite coverage, and where outside assistance may be delayed for several hours

Wilderness First Responder (WFR)
Designed for outdoor professionals, those taking multi-day or extended trips, and people involved with high-risk activities

Recertification Course 
   for current WFR & WEMS certifications
Focuses on updates, patient assessment, and evacuation while providing a thorough review of the original course material

Wilderness EMS Courses

Wilderness EMR & EMT Course
Designed for urban EMRs or EMTs who wish to adapt their skills to a remote care environment 

Wilderness ALS Course for AEMTs, Paramedics, & Registered Nurses
Designed for urban AEMTs, Paramedics, & Registered Nurses who wish to adapt their skills to a remote care environment

Wilderness Practitioner Course for Nurse Practitioners, PAs, & Physicians
Designed for practicing physicians, PAs, and nurse practitioners who wish to adapt their skills to a remote care environment

Specialty Courses

Applied Anatomy & Physiology in Wilderness Medicine
​
75+ hour online course is designed for anyone who wants to learn how to care for themselves and those around them when professional medical assistance is unavailable

Effective Outdoor Program Design & Management
​
Designed for program directors, staff trainers, and senior instructors

Instructor Training Course (ITC)

If you spend time in the outdoors, despite your best intentions, things can go wrong, accidents happen. Falls, both small and large, are common; some only result in bruises or sprains. Others are more serious. Most environmental injuries — hypothermia, heat stroke, frostbite, drowning, etc. — can be prevented once you understand why they occur and the pathophysiology behind them; and if you recognize a problem early, many can be treated in the field. And then there are cuts, blisters, someone gets sick or stung by something. What do you do? Training in wilderness medicine helps you prepare for the known and unknown. Here are a couple of articles that may give you some perspective:
  • Why Take a Wilderness Medicine Course
  • Getting away with it​ ​

Wilderness Basic Life Support (WBLS)

Standard Wilderness Basic Life Support Course
 In Person
 1 day, 9+ hrs
Our Wilderness Basic Life Support course is designed for people traveling with reliable cell phone coverage, outside assistance is typically available within one hour, and who are unwilling or cannot afford the money or time to take a longer course and are required to have first aid training ± CPR/AED certification for their job. The course focuses on basic life support — the assessment and treatment skills necessary to address a life-threatening injury or illness until more advanced help arrives — and meets Occupational and Safety Health Association (OSHA) standards. The course may also meet your state or organization's minimum CPR and First Aid requirements for coaches, camp staff, or guides [check with your state or organization]. Our Wilderness Basic Life Support goes a few steps further than urban BLS courses. It helps students understand when an urgent evacuation is needed, how to splint common extremity injuries, and how to safely assist ambulatory patients during an evacuation.​
​
Most WBLS graduates return to take a longer, more intensive course. 
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Wilderness Basic Life Support
± Adult & Child CPR & AED [depends on course]
​​WMTC WBLS  certifications are valid for a maximum of two years; to recertify, you must retake the original course.
Find a WBLS Course
Standard WBLS Syllabus
Compare course tuition & formats.

Wilderness First Aid (WFA)

Standard Wilderness First Aid Course
 In Person
 3 days
Part 1 Hybrid Wilderness First Aid Course
 Online
10+ hours
 Part 2 Hybrid Wilderness First Aid Course
 In Person
 2 days, 20 hrs
Our Wilderness First Aid course is designed for people taking half or full-day trips, those traveling with reliable cell phone coverage, and where outside assistance is typically available within a few hours. WFA courses are an introduction to wilderness expedition medicine, focusing on general concepts and basic treatment skills. Many WFA graduates return to take a longer, more intensive course. The certification also meets American Camping Association and Scouts of America trip leader requirements. 
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Wilderness First Aid
Injectable Epinephrine

± Adult & Child WCPR & AED [depends on course]
​​WMTC WFA certifications are valid for a maximum of three years; to recertify, you must retake the original course.
Find a WFA Course
Standard WFA Syllabus
Hybrid WFA Syllabus
Visit the hybrid WFA website to learn more & preview a sample lecture
Compare course tuition & formats

Wilderness Advanced First Aid (WAFA)

Standard Wilderness Advanced First Aid Course
 In Person
 5 days, 48 hrs
Part 1 Hybrid Wilderness Advanced First Aid Course
 Online
 15+ hrs
Part 2 Hybrid Wilderness Advanced First Aid Course
 In Person
 3 days
Our Wilderness Advanced First Aid course is designed for people taking half-, full, or short multi-day trips, those traveling with reliable cell or satellite coverage, and where outside assistance may be delayed for several hours. WAFA courses cover more topics and skills than our WFA course and dive slightly deeper into pathophysiology. 
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Wilderness Advanced First Aid
Injectable Epinephrine
Adult & Child WCPR 
± AED
[depends on course]
​​​WMTC WAFA certifications are valid for a maximum of three years; there is no grace period. To recertify, you must retake the original course or take a WFA course and complete the online WAFA recertification exam before your certification expires.
Find a WAFA Course
Standard WAFA Syllabus
Hybrid WAFA Syllabus
Visit the hybrid WAFA website to learn more & preview a sample lecture
​Compare course tuition & formats

Wilderness First Responder (WFR)

Standard Wilderness First Responder Course
 In Person
 9 days, 80 hrs
Part 1 Hybrid Wilderness First Responder Course
 Online
 30+ hrs
Part 2 Hybrid Wilderness First Responder Course
 In Person
 5 days. 50 hrs
Our Wilderness First Responder course is designed for outdoor professionals, those taking multi-day or extended trips, and people involved with high-risk activities (rock climbing, whitewater paddling, mountaineering, etc.). WFR courses provide the ideal training for people who travel in remote locations, in challenging weather, with limited equipment, unreliable communication, and little or no access to outside assistance. WFR certification is the industry standard for outdoor guides and instructors, and graduates are trained to care for patients for extended periods and to make independent decisions about evacuation and resources.

​WMTC WFR graduates who receive certification as an urban EMR or EMT within one year of their WFR course may upgrade to a WEMR or WEMT after passing our online exams.
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Wilderness First Responder
Injectable Epinephrine
Adult & Child WCPR + AED

​​
WMTC WFR certifications are valid for a maximum of three years; there is no grace period. To recertify you must take a WFR & WEMS Recertification course before your certification expires.
Find a WFR Course
Standard WFR Syllabus
Hybrid WFR Syllabus
Visit the hybrid WFR website to learn more & preview a sample lecture
​
Compare course tuition & formats

Recertification Course 
   for current WFR & WEMS certifications

Standard Recertification Course
 In Person
 3 days
Part 1 Hybrid Recert Course
 Online
 8+ h
Part 2 Hybrid Recert Course
 In Person
 2 days, 20 hrs
Our Recertification course focuses on updates, patient assessment, and evacuation while providing a thorough review of the original course material. 90% of the course is hands-on simulations, skill labs, and case study reviews. Please see the course syllabus or visit our Recertification page for details.

Graduates with current WFR and WEMS certifications — or those in their grace period — from an approved provider may recertify with us. You must hold a national registry certification or state license to recertify a WEMS certification. We do not recertify graduates of online-only programs.
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​Wilderness First Responder, Wilderness EMR, & Wilderness EMT
Injectable Epinephrine
Adult & Child WCPR & AED
​
WMTC WFR certifications are valid for a maximum of three years. WEMR & WEMT certifications expire with your current national EMS certification state EMR or EMT license, whichever comes first. There is no grace period.To recertify you must take a WFR & WEMS Recertification course before your certification expires.
Find a Recert Course
Standard RECERT Syllabus
Hybrid RECERT Syllabus
Visit the hybrid Recertification website to learn more & preview a sample lecture
Compare course tuition & formats
Continuing Education Units
WMTC is not registered with CAPCE or any other CEU organization for EMTs, nurses, PAs, or physicians. Most training officers or education department supervisors affiliated with a licensed EMS service or hospital can approve CEUs. NREMT may grant — but is not obligated to — CEUs to EMTs who have taken a WEMS course based on topics, clock hours, and state approval (see preceding text). Nurses, PAs, and physicians can apply for CEUs through their hospital's education department. Those not affiliated with a hospital may be eligible for CEUs and should contact their state licensing or health department for guidance.

Wilderness EMS Courses

In 2007, after years of development and beta testing, we introduced the industry's first hybrid WEMS course. Through our strong foundation, innovative approach, and effective technologies, we continue to set the bar for hybrid course development. In 2025 we are expanding our WEMS course offerings to include:
  1. a WEMS Basic Life Support Course for licensed EMRs & EMTs
  2. a Advanced Life Support Course for licensed AEMTs, paramedics, & registered nurses 
  3. a WEMS Practitioner Course for licensed physicians, physician associates, & nurse practitioners.
Our hybrid WEMS courses are designed to deliver practical, yet in-depth knowledge of wilderness expedition medicine and remote WEMS operations. In order for your Wilderness EMS certification to be valid, it must be accompanied by a current NREMT cert or state license.
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Regardless of their licensure, WEMS providers may find themselves responding to an incident as:
  • part of an urban ambulance team or Community Emergency Response Team (CERT) during a disaster
  • part of a rural ambulance team
  • part of a Search & Rescue team
  • an instructor or guide leading an outdoor trip
  • a member of a wilderness expedition 
  • a provider in a remote clinic

​Due to numerous variables, patients in wilderness or remote settings are at greater risk than their urban counterparts: Hazardous environments, difficult rescues, lack of diagnostic and medical equipment and medications, equipment and technology failures, limited personnel, and delayed access and transport times regularly contribute to poorer patient outcomes. WEMS providers often face difficult choices with no textbook answer, where experience, a deep understanding of anatomy, physiology, and pathophysiology, and the ability to improvise frequently make the difference between success and failure, life and death, and, sometimes, as in hospital settings, when the damage is severe and non-reversible, there is little or nothing that can be done but be present and bear witness.
​
In an emergency, keeping things simple is critical. Traumatic mechanisms are responsible for most health-related issues encountered in the wilderness, with environmental mechanisms a close second. Common medical problems encountered during a wilderness expedition or trip — colds, flu, respiratory infections, etc. — are usually addressed by trip members and WEMS is rarely dispatched. In contrast, most WEMS dispatches for medical emergencies require an evacuation to a hospital and can be summed up using a few basic guidelines. The lesson isn't what's wrong with the patient, but whether you have the knowledge and resources to assess and treat them definitively; and if not, where do they need to go and how fast?

All WEMS providers must be proficient in self-care in the search or rescue environment least they become an unintended casualty and divert resources from the initial scene. ​In rescue environments, the technical skills of individual rescuers are typically more important than their medical skills. It's useful to note that the vast majority of rescue technicians are medically trained at the first aid, EMR, or WEMT levels.  Training, practice, and familiarity in the rescue environment is vital to patient survival. In many cases, advanced procedures may only be accomplished after the initial rescue is complete and the patient is removed from pressing environmental hazards.

In some cases, WEMS personnel arrive on scene hours after the initial incident with commercial and advanced equipment, in other situations, they may be on-site when the incident occurs with minimal gear. In either case, they need to respond. This course will help prepare you for both situations.

​
​Because licensed WEMS providers of all levels may operate in hazardous weather conditions, with questionable communication, and limited resources, our hybrid WEMS practical sessions focus on patient assessment, non-technical interventions, improvisation, and making appropriate evacuation decisions. Providers at all levels often find themselves making risk:benefit analyses rarely encountered in an urban environment. For example:
  • What equipment and supplies should I bring on this call?
  • Should I spend valuable transport time on a complex assessment or treatment in the field when rapid transport to definitive care is immediately available?
  • When treating an awake and otherwise ambulatory patient with a suspected spine or spinal cord injury, should we initiate a self-evac or delay transport until a commercial litter arrives?
The answer is always: It depends...
Continuing Education Units
WMTC is not registered with CAPCE or any other CEU organization for EMTs, nurses, PAs, or physicians. Most training officers or education department supervisors affiliated with a licensed EMS service or hospital can approve CEUs. NREMT may grant — but is not obligated to — CEUs to EMTs who have taken a WEMS course based on topics, clock hours, and state approval (see preceding text). Nurses, PAs, and physicians can apply for CEUs through their hospital's education department. Those not affiliated with a hospital may be eligible for CEUs and should contact their state licensing or health department for guidance.

Wilderness EMR & EMT Course

Part 1 Hybrid WEMR & WEMT Course
 Online
 ± 30 hrs
Part 2 Hybrid WEMR & WEMT Course
 In Person
 5 days, 50 hrs
Our Wilderness EMR & EMT course is designed for urban EMRs or EMTs who wish to adapt their skills to a remote care environment as Search & Rescue team members, Community Emergency Response Team (CERT) members, rural or remote EMS, expedition medics, or trip leaders. Participants must hold a current national registry EMR or EMT certification or state license to receive certification as a WEMR or WEMT. This course focuses on assessing and treating traumatic, environmental, and medical emergencies in a wilderness expedition or remote EMS environment. 

Licensed EMRs & EMTs can also receive WEMR or WEMT certification by taking our standard WFR course and passing our online WEMR or WEMT exams. WMTC WFR graduates who receive certification as an urban EMR or EMT within one year of their WFR course may upgrade to a WEMR or WEMT after passing our online WMR or WEMT exams.
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Wilderness EMR or EMT
Injectable Epinephrine,

Adult & Child WCPR + AED
WMTC certifications are valid for a maximum of three years and expire with your national EMS certification or state license, whichever comes first.​ There is no grace period. To recertify you must take a WFR & WEMS Recertification course before your certification expires.
Find a Wilderness EMR & EMT Course
Hybrid Wilderness EMR & EMT Course Syllabus
​Visit the WEMS website to learn more & preview a sample lecture
​Compare course tuition & formats

Wilderness ALS Course for AEMTs, Paramedics, & Registered Nurses

Part 1 Hybrid Wilderness ALS Course
 Online
± 30 hrs
Part 2 Hybrid Wilderness ALS Course
 In Person
 5 days, 45 hrs
Our WEMS Advanced Life Support course is designed for urban AEMTs, Paramedics, & Registered Nurses who wish to adapt their skills to a remote care environment as Search & Rescue team members, Community Emergency Response Team (CERT) members, expedition medics, or trip leaders. AEMTs, paramedics, and registered nurses must hold a current national registry certification or state license to receive certification as a WAEMT, WPM, or WRN. Our Wilderness ALS course focuses on assessing and treating traumatic, environmental, and medical emergencies in a wilderness expedition or remote EMS environment. 
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Wilderness AEMT, Paramedic, or Registered Nurse
​WMTC certifications are valid for a maximum of three years and expire with your national EMS or state license, whichever comes first.​ There is no grace period. To recertify you must take a WFR & WEMS Recertification course before your certification expires.
Find a Wilderness ALS Course
Hybrid Wilderness ALS Syllabus
Visit the WEMS website to learn more & preview a sample lecture
​Compare course tuition & formats.

Wilderness Practitioner Course for Nurse Practitioners, PAs, & Physicians

Part 1 Hybrid Wilderness Practitioner Course
 Online
± 25 hrs
Part 2 Hybrid Wilderness Practitioner Course
 In Person
 4 days, 40 hrs
Our WEMS Practitioner course is designed for practicing physicians, PAs, and nurse practitioners who wish to adapt their skills to a remote care environment as Search & Rescue team members, Community Emergency Response Team (CERT) members, expedition medics, or trip leaders. Physicians, physician associates, and nurse practitioners must hold a current state license to receive certification as a WNP, WPA, WDO or WMD. Our WEMS Practitioner course focuses on assessing and treating traumatic, environmental, and medical emergencies in wilderness expedition or remote EMS environment. 
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Wilderness Practitioner (WNP, WPA, WDO, or WMD)
​WMTC certifications are valid for a maximum of three years and expire with your state license whichever comes first.​ There is no grace period. To recertify you must take a WFR & WEMS Recertification course before your certification expires.
Find a Wilderness Practitioner Course
Hybrid Wilderness Practitioner Course Syllabus
Visit the WEMS website to learn more & preview a sample lecture
​Compare course tuition & formats

Specialty Courses

Instructor Training Course (ITC)

This course is designed for outdoor and medical professionals interested in instructing WMTC medical courses. Potential candidates must apply for and complete our 18-day Instructor Training Course and apprenticeship. The ITC is demanding and will prepare graduates to enter the apprentice program, where they practice and fine-tune their instruction until they are ready to lead courses. Preparation for the ITC is challenging and requires ~80+ hours of work. Instructor candidates are preassigned specific lecture topics, skill sessions, and simulations to present during the ITC. The course culminates with the instructor candidates co-teaching a standard Wilderness First Aid course with their instructor trainer.

Successful Instructor candidates must:
  • Be a WMTC graduate with medical experience.
  • Have professional trip-leading experience
  • Have didactic and experiential teaching experience
  • Mastered basic outdoor living and expedition skills
  • Have advanced outdoor skills in at least one of the following areas: climbing, mountaineering, whitewater paddling or rafting, backcountry skiing, canyoneering, sea kayaking, or another equally technical outdoor activity.

Applicants must complete the WMTC Instructor Application. Please get in touch with the WMTC office with any questions.
Find an ITC
Application

Applied Anatomy & Physiology in Wilderness Medicine

This 75+ hour online course is designed for anyone who wants to learn how to care for themselves and those around them when professional medical assistance is unavailable. Potential students include:
  • People who live remotely
  • Preppers
  • People who wish to be prepared for a natural disaster — flood, severe storm, earthquake, wildfire, etc. — when the 911 system and hospitals are overwhelmed.
  • High school students looking for additional credits or an applied science course
  • People interested in pursuing a career as a medic, nurse, PA, or physician​
​Students learn the anatomy, physiology, and pathophysiology behind assessing and treating traumatic, environmental, and medical problems. The course dives deeper into basic medical theory and concepts than our certification courses. It is taught entirely online and at your own pace. Learning tools include multimedia presentations, the Wilderness Medicine Handbook, skill videos, case studies, patient notes, chapter tests, and exams. Internet access is required. Learn more by reviewing some actual topic pages.
Tuition is $275 and includes a copy of our Wilderness Medicine Handbook, access to the course website, online tests, and digital patient notes.
Register
This course does not include certification in wilderness medicine. If, after completing this course, you score a minimum of 80% on each of the final exams and are interested in becoming certified, please contact our office; you may be eligible to register for Part 2 of a hybrid WFA, WAFA, or WFR practical session. ​Compare course tuition & formats.

Effective Outdoor Program Design & Management

Outdoor trips do not exist in a vacuum; organizations design and operate them for a reason, typically expressed in a mission statement. Some are simple: clients learn how to paddle a canoe or kayak, climb a rock or mountain, live outdoors using indigenous technologies, etc. In addition to developing a specific outdoor skill or skills, organizations with more complex missions seek to foster positive relationships between trip members or with the environment. As a result, their mission statement may include character development, communication, or decision-making skills.

​Regardless of their mission, the structure of all outdoor trips is the same. Each trip consists of multi-day blocks subdivided into individual day and activity blocks. Designers choose outcomes for each block that they hope will progressively lead students to a set of course outcomes defined by the program's mission. 
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Click on an image to enlarge
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Program directors are responsible for designing the trip macrostructure and hiring, training, and scheduling instructors. Field instructors manage the daily activity progression to ensure the block outcomes. The longer the trip, the more time instructors have to fine-tune the microstructure. Accidents and injuries occur when the competency/design balance is off and instructors lack the necessary site management skills to maintain the safety of an activity. A series of minor incidents precede each significant accident and injury, much like falling dominos precede the fall of the last domino. Program directors and instructors must have the ability to recognize seemingly minor incidents and intervene before the final domino falls and a severe injury occurs.​

​Our online course is modeled after our highly successful conference workshops and is designed for program directors, staff trainers, and senior instructors. The format is a progressive series of text, graphics, and video lectures that focus on identifying and understanding key design and management concepts, followed by exercises designed to give you practice using the material; students may submit their work for instructor feedback. Tuition includes three hours of one-on-one online discussion with a senior WMTC risk management instructor; you may break down the discussion time into hour or half-hour blocks and schedule them throughout the course. Additional consulting time is available for purchase.​ The course is currently under development and expected to launch in 2025.

Course Tuition & Format Comparison

Recreation & Guide Courses
Tuition Range*
Format
Wilderness Basic Life Support (WBLS)
$95-$125
Standard only
​Wilderness First Aid (WFA)
$250-$375
Standard & Hybrid
Wilderness Advanced First Aid (WAFA)
$450-$525
Standard & Hybrid
​Wilderness First Responder (WFR)
$750-$950
​Standard & Hybrid
Recertification (Recert)
​$275-$375
Standard & Hybrid
WEMS Courses
Tuition Range*
Format
Wilderness EMR & WEMT Course
$800-$1,000
Hybrid only
Wilderness ALS Course
   for AEMTs, Paramedics, & Registered Nurses
$1,000-$1250
Hybrid only
Wilderness Practitioner Course
   for Nurse Practitioners, Physician Associates, & Physicians
$2,000-$2,500
Hybrid only
Recertification (Recert)
​$275-$375
Standard & Hybrid
Specialty Courses
Tuition
Format
Applied Anatomy & Physiology in Wilderness Medicine
$275
Online
​Effective Outdoor Program Design & Management
TBA
Online
Instructor Training Course
$1,400
Standard
Certification courses in wilderness medicine are offered in either a standard or hybrid format. Briefly, standard courses are taught completely in person, while hybrid courses are taught online and in person. The in-person practical session for hybrid courses is shorter than a standard course as the lecture material is presented online. Learn more about the differences between standard and hybrid courses.
  • Graduates of our Basic Wilderness First Aid course receive a completion card ± CPR/AED certification depending on the course; see the course syllabus for details.
  • All WMTC certification courses exceed the certification standards published by the Wilderness Medicine Education Collaborative; see the course syllabus for details.
  • All wilderness medicine students receive a copy of the Wilderness Medicine Handbook, our pocket-sized, waterproof, tear-resistant field guide, and patient notes — learn more about our pedagogy & delivery strategies. 
  • * See WMTC Columbia and WMTC Japan websites for local tuition
Hybrid course students have options for how they register and move through a course. In most cases, we recommend registering for both parts of a hybrid course at the same time by finding a course that works for you on our Courses page. Below are a few reasons why you might consider registering for the Part 1 online session now and separately registering for the Part 2 practical session later.
  • You'd like to get started on Part 1 and there currently aren't any Part 2 practical sessions that work for you on our course schedule.
  • You anticipate that Part 1 might take you longer than the typical time allotment and you'd like to get started as soon as possible.
  • You have time now, but are unsure that you will have time closer to a practical session to complete Part 1.
  • You're unsure about taking Part 2.

NOTE: You have 1 year to complete both parts of a hybrid course from the time that you register for Part 1. You can extend the year deadline for another year for a fee.
Cancellation Policy
Privacy Policy
​
FAQ
Contact​
509.996.2502
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